Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.23 / $116.42 / $266.35	Facility		$27.23	$116.42	$266.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $23.69 / $99.86	Professional		$18.05	$23.69	$99.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $17.92 / $17.92	Professional		$17.92	$17.92	$17.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $62.23 / $293.00	Facility		$28.27	$62.23	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $20.32 / $60.04	Professional		$12.74	$20.32	$60.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $92.60 / $328.42	Facility		$53.00	$92.60	$328.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $22.84 / $74.01	Professional		$15.99	$22.84	$74.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $33.88 / $86.37	Facility		$17.86	$33.88	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $31.25 / $45.78	Professional		$16.76	$31.25	$45.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $25.80 / $41.28	Professional		$22.93	$25.80	$41.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $25.80 / $56.24	Professional		$20.64	$25.80	$56.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.14 / $128.00 / $128.00	Facility		$55.14	$128.00	$128.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $12.90 / $12.90	Professional		$12.90	$12.90	$12.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.35 / $30.13 / $73.73	Facility		$21.35	$30.13	$73.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $23.74 / $51.60	Professional		$17.16	$23.74	$51.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $90.55 / $90.55	Professional		$90.55	$90.55	$90.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $25.80 / $36.11	Professional		$20.64	$25.80	$36.11
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.48 / $51.78	Professional		$10.84	$15.48	$51.78